Shital S Desai, ANP, FNP-C
Individual provider Active NPI Family Health Clinical Nurse Specialist · Hope Valley, RI
NPI 1649525403 · NPPES record last updated Dec 7, 2015
Key facts
- NPI
- 1649525403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Health Clinical Nurse Specialist 364SF0001X
- License
- AP121774 (TX)
- Practice address
- 823 Main St
Hope Valley, RI 02832-1920 - Phone
- (401) 539-2461
- Fax
- (401) 753-6348
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Saint Louis University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wood River Health Services Inc
Practice addresses (Care Compare)
823 Main St
Hope Valley, RI 02832-1920
Phone 4015392461288
Hospital & facility affiliations
- South County Home Health
- Westerly Hospital
- South County Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160127001851 | RI | Practitioner - Nurse Practitioner | 5799088605 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825419 | TX | MD | Registered Nurse |
| 2012010796 | MO | MD | Adult Health Nurse Practitioner |
| AP121774 | TX | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood River Health Services, Inc. | Current |
Accepting new patients | |
| Thames Eye Group, PC | Past | Accepting new patients |
Locations
823 Main St
Hope Valley, RI 02832
17 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-0339
17 Wells St
Ste 202
Westerly, RI 02891
Phone (401) 596-3313
Interoperability endpoints
- sdesai@direct.wrhsrhodeisland.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2012010796 | MO | |
| Registered Nurse | 163W00000X | 825419 | TX | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | AP121774 | TX | |
| Family Health Clinical Nurse Specialist | 364SF0001X | AP121774 | TX | Yes |
Addresses
Primary practice location
823 Main St
Hope Valley, RI 02832-1920
Mailing address
6225 FM 2920 Rd Ste 100
Spring, TX 77379-3474
Phone (281) 257-5977
Other providers in Hope Valley, RI
- Sheila Cardente-Capece
- Champs Psychological Services
- Complete Nutrition Therapy, LLC
- Rachel Leah Cowell
- Stephen Francis Cummings
- Melanie Kay Dufour-Pilny
- Calli Duthrie
- Mary Frances Dzurinko
- Nickolas Desousa Fitzgerald
- Genoa Healthcare LLC
All providers in Hope Valley, RI · Family Health Clinical Nurse Specialist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.